Coeliotomy for myoma of the uterus : hysteromyomectomy : infection by Bacterium coli commune / by Hunter Robb and Albert A. Ghriskey.

  • Robb, Hunter, 1863-1940.
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: Coeliotomy for myoma of the uterus : hysteromyomectomy : infection by Bacterium coli commune / by Hunter Robb and Albert A. Ghriskey. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    OMYOMECTOMY, INFECTION BY BACTERIUM COLI COMMUNE. By Hunter Robb, M. D., Resident Gynecologist, and Albert A. Ghriskey, M. D., Assistant Gynecologist to the Johns Hoplcins Hospital. On the 7th of May last, S. J., colored, 34 years old, and single, entered the gynecological ward of the Johns Hopkins Hospital, in the service of Dr. H. A. Kelly. On admission the following observations were recorded : Patient well nourished, somewhat anaemic. Date of the last menstrual period, April 12tli. Menstrual flow regular, moderate in amount; no history of hemorrhages. She has had leucorrhoeal discharges for the past two years, most marked immediately following the menstrual period. For the past year has complained of painful micturition and “ bearing-down ” pain in the lower zone of the abdomen; also complains of a stinging, burning pain in the left ovarian region, and across the small of the back ; this is increased on exertion. Examination per vaginam reveals a nodular myomatous uterus about the size of an adult’s head, extending from the pelvis to above the umbilicus. Temperature and pulse normal. Urine clear with a faint trace of albumen and some doubtful casts. Operation May 9th, under chloroform narcosis. Hysteromyo- mectomy performed by Dr. Kelly’s method. An incision 6 cm. long was made in the median line, through the moderately thick abdominal walls. The tumor mass was exposed and delivered through the lengthened incision. After tying off the broad ligaments on either side, and down to the base of the mass, a rubber ligature was thrown around the uterine pedicle below. The mass was developed so low in the uterus that it would have been impossible to elevate it sufficiently to treat this case extra- peritoneally with clamp or ligature. The mass above the provi-